Hybrid Workers’ Compensation Claims Examiner

Sedgwick Claims Management Services Ltd; Las Vegas (NV); Hybrid; USD 80,000 - 100,000; Full time

Benefits offered by this job

Medical, dental, vision

401k matching

PTO

Flexible spending account

Job summary

Sedigwick is seeking a Workers' Compensation Claims Examiner in Reno, NV. This remote-designated role will transition to a hybrid schedule as you relocate or commute to the Reno office.

You will analyze and adjudicate complex workers' compensation claims, apply best practices, and deliver client-focused outcomes. Ideal candidates have a background in claims management, strong analytical and negotiation skills, and the ability to coordinate with claimants, clients, and carriers to resolve matters

Qualifications

• High School Diploma or GED required.
• Bachelor's degree from an accredited college or university preferred.
• 5 years of claims management experience or equivalent combination of education and experience required.
• Must be licensed in California or Nevada (Licensing/Jurisdiction Knowledge).

Responsibilities

• Analyzing and processing claims through well-developed action plans to determine exposure and resolution.
• Negotiating settlement of claims within designated authority.
• Communicating claim activity and processing with the claimant and the client.
• Reporting claims to the excess carrier and responding to directions in a professional and timely manner.

Skills

Analyzing claims

Negotiation

Communication with clients

Reporting to carriers

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification

Job description

Sedigwick is seeking a Workers' Compensation Claims Examiner in Reno, NV. This remote-designated role will transition to a hybrid schedule as you relocate or commute to the Reno office.

You will analyze and adjudicate complex workers' compensation claims, apply best practices, and deliver client-focused outcomes. Ideal candidates have a background in claims management, strong analytical and negotiation skills, and the ability to coordinate with claimants, clients, and carriers to resolve matters